| NPI | 1902300445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD491908) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD491908) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-09-29 |